NPIMap

Organization Active NPI

Basic Chiropractic

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1508238684
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR003030 Issued in GA
Legal business name
BASIC CHIROPRACTIC
Practice address
715A Bascomb Commercial Pkwy
Woodstock, GA 30189-2466
Phone
(770) 924-9400
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lili Gipson, DCNPI 1518068089
Title
Self
Phone
(770) 924-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR003030 GA Primary

Addresses

Primary practice location

715A Bascomb Commercial Pkwy
Woodstock, GA 30189-2466

Mailing address

PO Box 2363
Acworth, GA 30102-0007
Phone (770) 924-9400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1508238684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2363",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301020007",
            "telephone_number": "770-924-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715A BASCOMB COMMERCIAL PKWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301892466",
            "telephone_number": "770-924-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "GIPSON",
        "authorized_official_first_name": "LILI",
        "authorized_official_title_or_position": "SELF",
        "authorized_official_telephone_number": "770-924-9400",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR003030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.